A Case Report on Coronary Artery Perforation During Percutaneous Intervention

Authors

  • Asraf Hussain Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Shyam Raj Regmi Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Bishnu Mani Dhital Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Shovit Thapa Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Sagar Thapa Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Rohit Murarka Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Ramgobind Chaudhary Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Ashok Shrestha Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Roshan Shrestha Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal
  • Bishwaraj Adhikari Department of Cardiology, Chitwan Medical College, Bharatpur, Chitwan Nepal

DOI:

https://doi.org/10.3126/jnhls.v1i1.52899

Keywords:

coronary artery perforation, covered Stent, percutaneous intervention

Abstract

Coronary artery perforation (CAP) is one of the most dreadful complications encountered during Percutaneous Coronary Intervention (PCI). Though being rare, the high mortality rate associated with CAP makes it one of the most important complications that should be well known to all the coronary interventionist.

The treatment modalities range from balloon tamponade, reversal of anticoagulation, coils, microbeads, pericardiocentesis, covered stents and in desperate situations, coronary artery bypass graft. We present here a case of 65 year old male with extensive anterior wall myocardial infarction who developed CAP of proximal left anterior descending artery during PCI. The case was successfully managed with covered stent.

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Published

2022-12-31

How to Cite

Hussain, A., Regmi, S. R., Dhital, B. M., Thapa, S., Thapa, S., Murarka, R., Chaudhary, R., Shrestha, A., Shrestha, R., & Adhikari, B. (2022). A Case Report on Coronary Artery Perforation During Percutaneous Intervention. Journal of National Heart and Lung Society Nepal, 1(1), 32–34. https://doi.org/10.3126/jnhls.v1i1.52899

Issue

Section

Case Reports